ROSS M SKIZYCKI (NPI# 1972881803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972881803 |
| Entity Type | Individual |
| Full Name | ROSS M SKIZYCKI |
| Other Name | ROSS M ROZYCKI |
| Credential | M.D. |
| Practice Address |
13111 N Port Washington Rd Mequon WI 53097-2416 |
| Mailing Address |
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906720 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906720 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 62019-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MT199825 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2323 N Lake Dr, Milwaukee, WI 532114508 | 4142906720 | 4142906755 |
| 3200 Pleasant Valley Rd, West Bend, WI 530959274 | 4142906720 | 4142906755 |
| 600 Highland Ave, Madison, WI 537922416 | 6082622398 | |
| W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518 | 4142906720 | 4142906755 |
| Street Address |
13111 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053360933 | Infinity Healthcare Physicians, S.c. | Physician Assistant | 13111 N Port Washington Rd, Columbia St. Mary's - Ozaukee Campus, Mequon, WI 53097-2416 | 2006-05-09 |
| 1083251631 | Abbey Beck | Dietitian, Registered | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-12-03 |
| 1184269326 | Whitney Gilbert | Social Worker | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-11-12 |
| 1831733872 | Deidre Alexandra Marsh | Social Worker | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-11-02 |
| 1043854474 | Elizabeth Shepler | Nurse Anesthetist, Certified Registered | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-10-29 |
| 1053952028 | Marcus Sojka | Physical Therapist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-10-01 |
| 1740747559 | Columbia St Mary's Hospital Ozaukee, Inc. | Psychiatric Unit | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-02-28 |
| 1508306671 | Philip W Diperna | Nurse Practitioner | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2017-03-08 |
| 1932652732 | Karen Neusen | Occupational Therapist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2016-07-27 |
| 1255796181 | Magdalena Walentynowicz | Physician Assistant | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2015-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205898822 | Edward N Barthell | Emergency Medicine | 125 E Barkwood Ct, Mequon, WI 53092-5893 | 2006-04-06 |
| 1467898064 | Meghan M. Fabrizi | Emergency Medicine | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2013-05-22 |
| 1174812085 | Jeffrey A Merlin | Emergency Medicine | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2011-03-31 |
| 1255577862 | Angela Petrie | Emergency Medicine | 11430 N Port Washington Rd, Mequon, WI 53092-3414 | 2009-01-02 |
| 1508027947 | Robert Nicholaus Beyer | Emergency Medicine | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2008-06-18 |
| 1043437213 | Bridgett R Moss | Emergency Medicine | 11430 N Port Washington Rd, Mequon, WI 53092-3414 | 2007-04-19 |
| 1245282086 | Mark W Francis | Emergency Medicine | 10614 N Port Washington Rd, Mequon, WI 53092-5013 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.